ATTACHMENT_B _LAUREL_BAY.docx

PAST PERFORMANCE QUESTIONNAIRE

NOTE: Offerors are responsible for requesting that their 3 references complete this past performance questionnaire. References shall return the completed questionnaire directly to the Domestic Dependent Elementary and Secondary Schools (DDDESS) Procurement Office, Not Later Than, Friday, June 27, 2013, 12:00 PM, (EST) , References shall not return the completed questionnaires to the requestors.

You have been identified as having been a customer of the following company for providing bus transportation services, Laurel Bay, Beaufort, SC.

Requesting Company Name: ________________________________________________.

The Dept. of Defense Education Activity (DoDEA)/DDESS is conducting an evaluation of this company’s previous record of performance as part of a selection process to award a contract for similar services. We cordially request you complete and forward this questionnaire:

Not Later Than: Friday, June 27, 2013, 12:00 PM, (EST).

to sabra.boynton@am.dodea.edu or fax to 770-632-8720. For questions related to this form, please contact Sabra Boynton, Contract Specialist, at (678) 364-6832

1. Company Information Name Street Address City State Zip Code

2. Point Of Contact (POC):

Name / Title Phone Number Fax Number Email Address

2. Services Received:

Briefly Describe Services Received: ___________________________________________________ Country Where Services Performed: ______________ Approx. Value of Services: $____________ Date You Began Using This Firm’s Services: ______________

6. Rate Services Received Please rate products received by entering and “X” in the applicable rating block below :

Management effectiveness at identifying and correcting problems

Responsiveness to customer requirements

Quality of workmanship

Experience, training and skill level of personnel accomplishing work

Subcontracting

7. Please Provide Written Comments To Explain Your Ratings (Use Additional Sheets If Necessary):

8. Rated By:

Signature Printed Name & Title Date Domestic Dependent Elementary and Secondary Schools (DDESS), Procurement Division 700 Westpark Drive, Peachtree City GA 30269-3554